Note : Les descriptions sont présentées dans la langue officielle dans laquelle elles ont été soumises.
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Description
Title of Invention: NEEDLE GUARD
1111 CROSS-REFERENCE TO THE RELATED APPLICATION
[2] This application claims priority from Indian Patent Application No.
1883/DEL/2012
dated June 19, 2012, the entire disclosure of which is incorporated herein by
reference.
1131 The invention relates to a needle guard for use in a medical device,
in particular for
use in a catheter apparatus. The needle guard includes a base portionhaving a
needle
passage extending in an axial direction from a proximal side of the base
portion
through the base portion to a distal side of the base portion. The needle
guard further
includes first and second arms extending substantially in the axial direction
from the
distal side of the base portion and a distal wall which is transversely
arranged at a
distal region of the first arm.
[4] Such needle guards are generally known and are used to cover the tip
of a needle of a
medical device after use of the medical device. Typically, needle guards are
devised to
automatically cover the needle tip after withdrawal of the needle, for
example, from a
patient. The needle guard thereby serves to prevent accidental pricking of,
for example,
a medical practitioner by the needle tip after removal of the needle from the
medical
device.Thereby the needle can be safely disposed of after use, without the
danger of
transmitting possibly highly infectious and/or deadly diseases to the medical
prac-
titioner from the patient.
1151 Generally speaking, the term proximal refers to a region of the device
or a location
on the device which is closest to, for example, a clinician using the device.
In contrast
to this, the term distal refers to a region of the device which is farthest
from the
clinician, for example, the distal region of a needle will be the region of a
needle
containing the needle tip which is to be inserted e.g. into a patient's vein.
[6] It is an object of the invention to provide an improved needle guard.
1171 This object is satisfied by a needle guard in accordance with claim 1.
1181 The needle guard of the present invention includes a base portion made
of a first
material and having a needle passage which extends in an axial direction from
a
proximal side of the base portion through the base portion to a distal side of
the base
portion, such that a needle having a principal outer profile can be movably
arranged in
the needle passage. The needle guard further includes first and second arms
extending
substantially in the axial direction from the distal side of the base portion,
with the first
arm having a distal region and a proximal region. A distal wall is
transversely arranged
in the distal region of the first arm.
1191 The needle guard also includes a stopping element which is slidably
arranged on the
needle shaft and movable relative to the base portion. The stopping element is
adapted
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to engage with an enlargement of the needle shaft on its one side and with the
base
portion on its opposite side and, thus, effectively helps to prevent the
needle guard
from sliding beyond the needle tip, i.e. from being separated from the needle.
[10] Because of the movability of the stopping element relative to both the
needle and the
base portion, the force that has to be applied for pulling the needle through
the needle
guard upon withdrawal of the needle is reduced.
[11] According to an embodiment, the stopping element completely surrounds
the needle.
The length of the stopping element, i.e. its dimension seen in the axial
direction, may
vary. As such, the stopping element can, for example, be a disk, a ring, or a
tube.
According to an alternative embodiment, it is also possible that the stopping
element
only partly surrounds the needle. In this case, the stopping element could
have the
shape of a slotted disk, ring, or tube. Furthermore, it has to be understood
that outer the
stopping element does not have to have a circular outer profile. It is also
possible that
the outer profile of the stopping element is of non-circular form, for
example, of oval
or polygonal shape.
[12] In order to prevent movement of the stopping element through the
needle passage,
amaximum outer dimension of the stopping element seen in a direction
transverse to
the axial direction is preferably larger than a maximum transverse dimension
of the
needle passage.
[13] The stopping element preferably has a through-bore with a profile
which is adapted
to the principal outer profile of the needle shaft. In the case of e.g.
circular cross-
sections, a diameter of the through-bore can be slightly larger than a
principal outer
diameter of the needle.
[14] According to an embodiment, the stopping element is arranged in the
base portion.
For example, the stopping element can be arranged in a cavity or cut out
provided in
the base portion. Alternatively, the stopping element can be arranged between
the first
and second arms.
[15] According to a further embodiment, the stopping element is made of a
second
material different from the first material. Preferably, the second material is
of greater
hardness and/or stiffness than the first material. For example, the first
material could
be a plastic material and the second material could consist of a metal, a
ceramic or a
rubber material, or any other type of material which is stiff and not as
easily distorted
as the first material.
[16] Needle guards of the above kind are used, for example, in catheter
apparatuses. The
invention therefore also provides a catheter apparatus including a needle
guard in ac-
cordance with the present invention, with the catheter apparatus further
including a
catheter tube, a catheter hub and a needle having a needle shaft, a needle tip
and a
needle hub, wherein the needle shaft has a distal section and a proximal
section, with at
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least the proximal section having a principal outer profile.
[17] The needle also has an enlargement near its tip, more specifically
between the distal
section and the proximal section of the needle shaft. The enlargement has an
outer
profile one dimension of which is larger than a maximum dimension of the
profile of
the through-bore of the stopping element. In a preferred embodiment, the
enlargement
is made by a crimping of the needle shaft. However, other ways of forming the
en-
largement are possible, such as applying additional material to the needle
shaft, e.g. by
soldering, welding or gluing etc.
[18] The inner profile of the needle can either be reduced in the region of
the enlargement,
for example, if the enlargement is formed by crimping, or it can be
substantially
constant throughout the length of the needle, for example, if the enlargement
is formed
by applying additional material to the needle shaft.
[19] Prior to the use of the catheter apparatus, the needle guard is
arranged in the catheter
hub near a proximal end of the needle shaft. In this situation, the needle
extends
completely through the needle guard, thereby deflecting the first arm of the
needle
guard outwards, i.e. at an angle to the axial direction, such that the distal
wall of the
first arm is supported on the needle shaft. Following the insertion of the
catheter into a
patient, the needle is withdrawn from the catheter tube and the needle shaft
moves
through the needle guard while the needle guard is retained in the catheter
hub. Once
the needle tip passes the transverse distal wall of the needle guard, i.e.
such that the
needle shaft no longer supports the distal wall, a restoring force ensures
that the first
arm of the needle guard is moved back into alignment with the axial direction
of the
needle guard, so that the needle tip is blocked by the distal wall of the
needle guard,
i.e. the needle tip is prevented from axially projecting out of the needle
guard.
[20] Once the needle tip is blocked by the distal wall, the enlargement of
the needle shaft
engages with the stopping element, when the stopping element is arranged
between the
arms, or with the distal side of the base portion, when the stopping element
is arranged
in the base portion, to prevent the needle guard from being removed from the
needle
shaft. The fact that the stopping element is made from a second material which
is
harder and less easily distorted than the first material of the base portion,
has the effect
that the needle guard is secured more effectively on the needle shaft and can
be
retained even if excessive external force is applied when pulling on the
needle, as the
enlargement is prevented from being pulled through the base portion of the
needle
guard due to the stopping element. Hence, it is less likely that the needle
guard is
removed from the needle tip accidentally and, as a result, the needle guard
provides a
better protection against accidental pricking and thus increased safety for
the person
handling the catheter apparatus.
11211 In a further embodiment of the needle guard, a tension element
surrounds the first
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and second arms of the needle guard. In the deflected state of the first arm,
the tension
element is expanded against a restoring force of the tension element. Once the
needle
shaft no longer supports the distal wall, the tension element aids the
repositioning of
the first arm back into axial alignment with the axial direction. This
repositioning is
necessary so that the distal wall can block the needle tip from axially
sliding out of the
needle guard. In addition, the tension element helps to enclose a space
between the first
and second arms and thus helps to prevent the needle tip from projecting
sideways out
of the needle guard. In other words, the tension element adds to the
protective effect of
the needle guard.
[22] In a further embodiment of the needle guard, a recess is provided in
the proximal
region of the first arm of the needle guard. This recess increases the
deflectability of
the first arm in the region it is provided and thereby reduces the restoring
force acting
on the distal wall while this is being supported by the needle shaft. This
allows the
needle shaft to be moved more easily relative to the distal wall, as the
frictional force
acting on the needle shaft is reduced.
[23] In a further embodiment of the needle guard, a groove is provided in a
side of the
distal wall, with the groove extending substantially in the axial direction.
The groove
acts as a guide groove for the needle shaft and aids the axial movement of the
needle
shaft relative to the needle guard. Moreover, the needle shaft is prevented
from sliding
sideways off the distal wall. Such a sideways movement would significantly
increase
the force required to move the needle shaft relative to the needle guard,
which would
prevent a correct functioning of the needle guard.
[24] In yet a further embodiment of the needle guard, at least one L-shaped
extension
extends from the base portion, with a section of the L-shaped extension
extending
generally in the axial direction. Preferably, two L-shaped extensions are
provided on
opposite sides of the base portion. The at least one L-shaped extension
engages with an
outer surface of the catheter hub and helps to retain the needle guard in the
catheter
hub prior to use of the catheter, thus preventing the needle guard from being
removed
from the catheter hub before the needle tip is safely received inside the
needle guard.
[25] Further advantageous embodiments of the invention and preferred
apparatuses for
carrying out the invention are set forth in the subordinate claims and are
described in
connection with the accompanying drawings.
[26] The present invention will now be explained in more detail in the
following with
reference to preferred embodiments and to the accompanying drawings in which
are
shown:
[27] Fig. 1 a longitudinal section of a catheter apparatus comprising a
needle guard
according to a first embodiment of the invention;
11281 Fig. 2 a detail of Fig. 1;
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[29] Fig. 3 a side view of the needle guard of Fig. 1 and 2; and
[30] Fig. 4 a side view of a needle guard according to a second embodiment
of the
invention.
[31] Fig. 1 shows a catheter apparatus 10 in accordance with the invention.
The catheter
apparatus 10 includes a catheter hub 12, a catheter tube 14 and a needle 20.
The
catheter hub 12 has a distal end 22 and a proximal end 24, the catheter tube
14 is
arranged adjacent to the distal end 22 of the catheter hub 12.
[32] The needle 20 has a needle shaft 28, a needle tip 30 at a distal
section 34 of the
needle shaft 28 and a needle hub (not shown) attached to a proximal end 36 of
the
needle shaft 28. Both, the distal section 34 and the proximal section 36
generally have
the same outer profile. In the present embodiment, the distal and proximal
sections 34,
36 have circular cross-sections with generally identical outer diameters.
[33] An enlargement 32 of the needle 20 is provided between the distal
section 34 and the
proximal section 36 of the needle shaft 28. The enlargement 32 has a maximum
dimension in a direction transverse to the needle shaft 28, which is greater
than the
outer diameter of the distal and proximal sections 34, 36. The enlargement 32
can be
made, for example, by crimping the needle shaft 28.
[34] Prior to use of the catheter apparatus 10, the needle 20 is received
in the catheter hub
12 and catheter tube 14, such that the needle shaft 28 extends through the
length of the
catheter tube 14.
[35] A needle guard 26 is movably arranged on the needle shaft 28 and
retained in the
catheter hub 12 prior to use of the catheter apparatus 10.The needle guard 26
has a
base portion 44, a first arm 46, a second arm 48 and a distal wall 50. The
distal wall 50
is arranged at a distal end of the first arm 46 and extends in a direction
transverse to an
axial direction A. A tension element 52, for example, a rubber band or the
like,
surrounds the first and second arms 46, 48.
[36] Upon withdrawal of the needle 20 from the catheter tube 14 and
catheter hub 12 the
needle shaft 28 moves relative to the needle guard 26 until the needle tip 30
is received
in the needle guard 26. Once the needle tip 30 is received in the needle guard
26 the
enlargement 32 of the needle shaft 28 engages with the base portion 44 of the
needle
guard 26 via a stopping element 38 such that the needle guard 26 can be pulled
out of
the catheter hub 12 together with the needle 20. An axial movement of the
needle 20
relative to the needle guard 26 is now limited, as thedistal wall 50 blocks
the needle tip
30 and the engagement betweenthe enlargement 32 and the base portion 44 via
the
stopping element 38 prevents the needle tip 30 from being removed via the base
portion 44, i.e. the needle tip 30 is safely surrounded by the needle guard
26, as is
shown in Figs. 1 to 3.
11371 The base portion 44 has a needle passage 56 extending in the axial
direction A from a
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proximal side 58 of the base portion 44 through the base portion 44 to a
distal side 60
of the base portion 44. The needle passage 56 is configured to receive the
proximal
section 36 of the needle shaft 28 and allow movement of the needle shaft 28
relative to
the needle guard 26. For this reason, the diameter of the needle passage 56 is
slightly
larger than the outer diameter of the proximal section 36 of the needle shaft
28.
[38] The first and second arms 46, 48 of the needle guard 26 extend
generally in the axial
direction A from the distal side 60 of the base portion 44, i.e. generally
parallel to the
needle shaft 28. The first arm 46 has a distal region 62 and a proximal region
64, with
a recess 68 being provided in the proximal region 64 of the first arm 46. The
recess 68
is provided to facilitate deflection of the first arm 46 and to reduce a
restoring force
acting on the first arm 46 when the first arm 46 is deflected off axis.
[39] The outer surfaces 70 of the distal regions 62 of the first and second
arms 46, 48
generally taper from the base portion 44 towards the distal wall 50. At their
distal ends,
the tapered surfaces 70 are limited by shoulders or protrusions 71 formed on
the first
and second arms 46, 48. The protrusions 71 and the tapered surfaces 70 define
the
axial position of the tension element 52 and, in particular, prevent the
tension element
52 from axially sliding off the first and second arms 46, 48.
[40] The transverse distal wall 50 has a side 66 at its free end, in which
a groove (not
shown) is provided. The groove extends in a direction generally parallel to
the axial
direction A and is used to guide the needle shaft 28.
[41] As mentioned above, prior to the use of the catheter apparatus 10 the
needle 20
extends through the catheter tube 14 and the needle guard 26 is arranged in
the catheter
hub 12. In this situation, the distal wall 50 of the needle guard 26 contacts
the needle
20, with the needle shaft 28 being guided in the groove in the side 66 of the
distal wall
50. The needle shaft 28 thereby supports the distal wall 50, due to which the
first arm
46 of the needle guard 26 is deflected outwards, i.e. away from the needle 20,
against a
restoring force of the tension element 52.
[42] In order to retain the needle guard 26 in the catheter hub 12 while
the needle 20 is
being withdrawn from the catheter tube 14, the needle guard 26 is provided
with first
and second L-shaped extensions 72, 74 on opposite sides of the base portion
44.
[43] The first L-shaped extensions 72 comprises a first axial section 76
which extends
generally in the axial direction A. The second L-shaped extension 74 comprises
a
second axial section 78 which is longer than the first axial section 76 and
extends
slightly off the axial direction A towards the first axial section 76. Prior
to use of the
catheter apparatus, i.e. when the needle guard is positioned in the catheter
hub 12, the
first and second axial sections 76, 78 engage with an outer surface of the
catheter hub
12. A hook-like protrusion 80 is provided in the region of a distal end of the
second
axial section 78, which. Prior to use of the catheter apparatus the hook-like
protrusion
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80 engages with a corresponding combination of locking recession 82 and
locking
protrusion 84 provided in the outer surface of the catheter hub 12.
[44] Once the needle 20 has been withdrawn such that the needle tip 30 has
passed the
distal wall 50 and is received between the first and second arms 46, 48, the
needle shaft
28 no longer supports the distal wall 50. This causes the first arm 46 to
reposition itself
in axial alignment with the needle 20 due to the restoring force acting on the
first arm
46 in its deflected state. The realignment of the first arm 46 is aided
through the use of
the tension element 52. The realignment of the first arm 46 results in the
needle tip 30
being arranged in a space 54 which is bounded by the base portion 44, the
first and
second arms 46, 48, the distal wall 50 and the tension element 52.
[45] A stopping element 38 is slidably arranged on the proximal section 36
of the needle
shaft 28, such that it can freely move along the needle shaft 28. According to
the em-
bodiment shown in Figs. 1 to 3, the stopping element 38 is arranged between
the first
and second arms 46, 48 of the needle guard 26.
[46] According to the embodiment shown in Figs. 1 to 3, the stopping
element 38 has the
form of a continuous tube. Alternatively, the stopping element 38 could be a
continuous ring or disk, or a discontinuous tube, ring or disk, e.g. slotted
tube, ring or
disk.
[47] A maximum outer dimension of the stopping element 38 as seen in a
direction
transverse to the axial direction A is greater than a maximum dimension of the
needle
passage 56 as seen in the transverse direction. In the present embodiment, the
stopping
element 38 has a circular outer profile. However, non-circular outer profiles,
e.g. oval
or polygonal outer profiles would also be possible.
[48] The stopping element 38 is made of a material different from the
material of the base
portion 44, in particular, a material having a greater hardness and/or
stiffness than the
material of the base portion 44. Preferably, the stopping element 38 is made
of metal or
ceramic, but itcan be made out of any other material which is stiff and is not
easily
bent.
[49] The base portion 44 and first and second arms 46, 48 of theneedle
guard 26 can be
made from a plastic material, for example by a moulding process, with the
stopping
element 38 placed within the mould prior to the moulding process. The material
of the
base portion 44 and the first and second arms 46, 48 is different to the
material of the
stopping element 38.
[50] The stopping element 38 has a through-bore 86 which has a circular
cross-section
with its diameter being slightly larger than the principle diameter of the
proximal
section 36 of the needle shaft 28, in order to allow movement of the proximal
section
36 of the needle shaft 28 relative to the stopping element 38. At the same
time the
diameter of the through-bore 86 is smaller than the maximum dimension of the
en-
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largement 32 of the needle shaft 28, in order to prevent the enlargement 32
from
passing through the through-bore 86.
11511 When the needle tip enters the needle guard 26 upon withdrawal of the
needle 20,
theenlargement 32 engages with a distal side of the stopping element 38 and
forces the
stopping element 38 against the distal side 60 of the base portion 44. Since
the
diameter of the through-bore 82 of the stopping element 38 is smaller than the
maximum dimension of the enlargement 32 and the maximum outer dimension of the
stopping element 38 is greater than the maximum dimension of the needle
passage 56,
the stopping element 38 effectively prevents the enlargement 32 of the needle
shaft
from being pulled through the needle passage 56 of the base portion 44. Thus,
the
stopping element 38 improves the safety of the needle guard 26.
11521 The pulling force acting on the needle guard 26 via the needle 20 and
the stopping
element 38 causes the hook-like protrusion 80 provided on the second axial
section 78
of the second L-shaped extension 74 to disengage from the locking recession 82
and
locking protrusion 84 provided in the outer surface of the catheter hub 12.
The needle
guard 26 can thus be removed from the catheter hub 12 with the needle tip 30
being
safely received in the needle guard 26.
11531 Fig. 4 illustrates a second embodiment of a needle guard 26 which
differs from the
needle guard 26 according to the above described first embodiment only in the
position
of the stopping element 38.
11541 In the second embodiment, the stopping element 38 is not arranged
between the first
and second arms 46, 48, but instead it is arranged in the base portion 44. To
this end
the base portion 44 is provided with a receptacle 88 for the stopping element
38. As is
shown in Fig. 4, the receptacle 88 is formed by a cut out. Alternatively, the
receptacle
88 could also be formed by a cavity or chamber in the base portion 44.
11551 An axial dimension of the receptacle 88 is greater than the length of
the stopping
element 38, such that the stopping element 38 is free to move along the needle
shaft 28
within the receptacle 88.
11561 When the needle is withdrawn, the enlargement 32 of the needle shaft
28 normally
engages with the distal side 60 of the base portion 44, thereby preventing the
needle
guard 26 from sliding of the needle 20. Only when excessive pulling forces are
applied
to the needle 20, the enlargement 32 would be forced through the distal
portion of the
needle passage 56 in the base portion 44 until it comes into contact with the
stopping
element 38. The stopping element 38 would then prevent further movement of the
en-
largement 32 through the base portion 44 and thus ensure that the needle guard
26
stays on the needle and efficiently guards the needle tip 30, thereby
improving the
protective function of the needle guard 26.
11571 Although this invention has been disclosed in the context of certain
preferred em-
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bodiments and examples, it will be understood by those skilled in the art that
the
present invention can be constructed and utilized in a plethora of different
ways. It
should be understood that many changes, modifications, variations and other
uses and
applications will become apparent to those persons skilled in this particular
area of
technology and to others after having been exposed to the present
specification and ac-
companying drawings. Any and all such change, modifications, variations, and
other
uses and applications which do not depart from the spirit and scope of the
present
invention are therefore covered by and embraced within the present invention
and the
patent claims set forth herein-below.
[58] List of Reference Numerals
[59] 10 catheter
[60] 12 catheter hub
[61] 14 catheter tube
[62] 20 needle
[63] 22 distal end
[64] 24 proximal end
[65] 26 needle guard
[66] 28 needle shaft
[67] 30 needle tip
[68] 32 enlargement
[69] 34 distal section
[70] 36 proximal section
[71] 38 stopping element
[72] 44 base portion
[73] 46 first arm
[74] 48 second arm
[75] 50 distal wall
[76] 52 tension element
[77] 54 space
[78] 56 needle passage
[79] 58 proximal side
[80] 60 distal side
[81] 62 distal region
[82] 64 proximal region
[83] 66 side
[84] 68 recess
[85] 70 outer surface
11861 71 protrusion
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[87] 72 L-shaped extension
[88] 74 L-shaped extension
[89] 76 first axial section
[90] 78 second axial section
[91] 80 hook-like protrusion
[92] 82 locking recession
[93] 84 locking protrusion
[94] 86 through-bore
[95] 88 receptacle
[96] A axial direction
